General Anesthesia Division

The Division of General Anesthesia encompasses not only general surgery, trauma surgery and surgical oncology but also oversees perioperative services and critical care. Stony Brook University Hospital serves as the only Level 1 Trauma center for the nearly 1.5 million people of Suffolk County. A 20 bed Surgical Intensive Care Unit which is run by both surgical and anesthesia faculty. Additional Critical Care takes place in our Coronary Care Unit, Medical Intensive Care, Pediatric Intensive Care and Neonatal Intensive Care Units.

Division Members


Daryn Moller, MD
Chief of General Anesthesia
           

Residency Training

The division of general anesthesiology provides a diverse, well rounded experience for both residents and attendings, from the most basic aspects of the practice of anesthesiology up to the most demanding and complex. Residents will gain significant experience in dealing with complex multi-trauma cases including closed head injury, intra-abdominal injury and major orthopedic injury simultaneously. Although uncommon in this geographic area, penetrating trauma is managed by our trauma services as well. Trauma/Critical Care experience is augmented by a four-week rotation in the 20 bed Surgical Intensive Care Unit which is run by both surgical and anesthesia faculty. Additional Critical Care experience can be done on an elective basis in our Coronary Care Unit, Medical Intensive Care, Pediatric Intensive Care and Neonatal Intensive Care Units.

  • CA-1: Four-week rotation with close faculty supervision immediately following the six-week introduction for new residents. Focus is on patient management and problem solving in the OR. The clinical experience is supplemented with medical simulation of routine cases and critical events. Dedicated PACU rotation. Advanced airway management.
  • CA-2: There is a focus on invasive monitoring and transesophogeal echocardiography for the diagnosis of ischemia and monitoring of volume status. Residents rotate through Vascular Anesthesia for four weeks with a focus on minimally invasive endovascular procedures. There is also some exposure to major vascular procedures and the physiologic changes associated with surgical procedures involving aortic cross clamping.
  • CA-3: This is an advanced clinical rotation for major general and radical oncologic procedures. The focus is on increasing complex patients with multiple co-morbid conditions. Senior residents are given increasing independence as they gain additional experience in the management of these patients.  They also rotate through “Airway II”, a two-week block focusing on management of the difficult airway.  Senior residents are given additional responsibilities as team leader on call and assist in the triage and management of patients involved in emergent surgical procedures.
  • ▶ A day in the life of a Resident on General Rotation ...
  • ▶ A day in the life of a Resident on Advanced Clinical Rotation ...
  • ▶ A day in the life of a Resident on Vascular Rotation ...
  • ▶ A day in the life of a Resident doing a Trauma case ...
  • ▶ A day in the life of a Resident on Pre-op Rotation ...
  • Critical Care Rotation
Recent Division Activity

Resident Dr. Kathleen Cervo presents her Medically Challenging Case at the 2019 PGA Meeting

Dr. Richman presenting at Israeli Society of Anesthesiologists meeting 2017

Recent Publications
Resident authors denoted by bold type
  • Makaryus R, Miller TE, Gan TJ.
    Current concepts of fluid management in enhanced recovery pathways.
    Br J Anaesth. 2018 Feb;120(2):376-383.
  • Gupta R, Pyati S.
    Controversies in office based anesthesia: obstructive sleep apnea considerations.
    Minerva Anestesiol. 2018 May 14.
  • Makaryus R, Lee H, Robinson J, Enikolopov G, Benveniste H.
    Noninvasive Tracking of Anesthesia Neurotoxicity in the Developing Rodent Brain.
    Anesthesiology. 2018 Apr 24.
  • Benveniste H, Dienel G, Jacob Z, Lee H, Makaryus R, Gjedde A, Hyder F, Rothman DL.
    Trajectories of Brain Lactate and Re-visited Oxygen-Glucose Index Calculations Do Not Support Elevated Non-oxidative Metabolism of Glucose Across Childhood.
    Front Neurosci. 2018 Sep 11.
  • Alvarez-Nebreda ML, Bentov N, Urman RD, Setia S, Huang JC, Pfeifer K, Bennett K, Ong TD, Richman D, Gollapudi D, Alec-Rooke G, Javedan H.
    Recommendations for Preoperative Management of Frailty from the Society for Perioperative Assessment and Quality Improvement (SPAQI).
    J Clin Anesth. 2018 Mar 15;47:33-42.
  • Richman DC and Pulley DD.
    Preoperative Assessment and Management.
    In: Musculoskeletal and AutoImmune. Sweitzer BJ (ed). Wolters Kluwer 2018
Recent Presentations
  • Gupta R.
    Introduction of a Comprehensive Enhanced Recovery Program in Cardiovascular Surgery Resulted in Measurable Improvements.
    ASER 2018
  • Abola RE, Romeiser J, Rizwan S, Gupta R, Bennett-Guerrero E.
    Randomized Controlled Trial of Sugammadex versus Neostigmine for Reversal of Neuromuscular Blockade: Impact on Measures of Early Postoperative Strength.
    ASA 2018
  • Gupta R, Romeiser J, Denoya P, Setaro J, Page CR, Kitterle S, Gan TJ.
    Enhanced Recovery After Surgery Program Shortens Hospital Length of Stay and Reduced Opioid Consumption in Colorectal Surgical Patients.
    ASA 2018
  • Gupta R, Rizwan S, Romeiser J.
    Survey of ERAS Provider Practices Across North America and Europe.
    ASA 2018
  • Gupta R, Romeiser J, Gan TJ.
    Survey Related to the Fasting Experience Prior to and after Implementation of an Enhanced Recovery Pathway.
    ASA 2018
  • Rid S, Jacob Z, Makaryus R, Hyder F, Dienel G, Rothman DL, Benveniste HD.
    Trajectories of Brain Lactate Do Not Contribute to Aerobic Glycolysis across Childhood.
    IARS 2018
  • Makaryus R, Yu M, Chen K, Boyd M, Enikolopov G.
    Multiple neonatal anesthesia exposures suppress neuronal proliferation in the adult rodent hippocampus.
    Society for Neuroscience 2018
  • Escobar DP, Richman DC, Wang M.
    Airway Management of Lower Paratracheal Mass.
    ASA 2018
  • Fleischer L, Richman DC, Brown A.
    23 And You: How Genetics Can Impact Your Anesthetic and Your Life.
    Perioperative Medicine Summit Fort Lauderdale FL Mar 2018
  • Figueroa C, Fischl A, Sanchez C.
    Intraoperative Management Of HITT With Bivalirudin During Carotid Endarterectomy.
    PGA 2019
  • Moller D, Romeiser J, Wu AR, Cannizzo J, Bennett-Guerrero E.
    Heart Rate Variability During Surgery: What Changes are Observed During Incision and Opioid Administration?
    ASA 2019
  • Cheung RJ, Richman DC.
    Propofol Induced Seizure-Like Phenomenon.
    Perioperative Medicine Summit Orlando FL Feb 2019
  • Romeiser JL, Cavalcante J, Richman D, Gan TJ, Bennett-Guererro E.
    Feasibility of Collecting Perioperative Patient Reported Outcomes Using Web-Based Methods in ERAS Patients.
    ASER 2019
  • Romeiser J, Cavalcante J, Richman DC, Gan TJ, Bennett-Guerrero E.
    Feasibility of Collecting Perioperative Patient Reported Outcomes Using Web-based Methods in ERAS Patients.
    ASA 2019
  • Cervo K, Richman D.
    Complications Of Head And Neck Radiation – Beyond The Difficult Airway.
    PGA 2019